3003 W CASINO RD BLDG 40-54 2024-10-24

BOLDING PERMIT APPLICATI CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 cry Everett STATE Wa zip 98204 setTorflit1'f`#r .b6" (4C) Q(FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Boeing LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd CITY Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.Com CONTRACTOR COMPANY NAME:-W (_ e_ftekcji SA- '+ WA STATE CONTRACTOR LICENSE#(REQUIRED ®�21TY OF EVERETT BUSINESS LICENSE#(REQUIRED): tA0S9/ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-260-2668 Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.com BUILDING INFORMATION VALUATION OF WORK: $15,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Manufacturing PROPOSED USE OF BUILDING:Manufacturing HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ETA. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Install (25) pallet racks - (17) interior and (8) exterior for the 40-54 south canopy for ramp-up of 777X engine and build-up large parts. RECEVEn NOV 3 0 2023 lj e6 6 y ut- tVERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pur tt;Q, lti5 perp it.m st Ec rply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations mus fil t' ' ulhbr1tzed i�l�t ttt5efrom the Build .-."i'is e ein authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, an/ i ctor Law 18.27�II 2 iOQA WAC. 7 ( 3 City of Everett Official Use Only Todd Haberlack, Digitally signed by Todd Haberlack, PERMIT#4830 , 48308 Date:2023.11.27 08:42:40-08'00' 'J .D( ( l/ 7G2- Owner/Authorized Agent Signature Date (Revised 4/21/2022)